Philip    Scharper    MD
Contract Details
Retina Specialists of Alabama
Facility name
Provider ID
P000008473
NPI
1346285426
Tax ID
631248339
Effective Date
7/1/2016
Last Updated
9/2/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2055 Normandie Dr Suite 314
Montgomery, AL 36111
United States
County
Montgomery
Phone
3342630105 (Phone)
Billing Details
Address
P.O. Box 11984
Montgomery, AL 36111
Billing Phone
3342630105
Specialty Type
Ophthalmology
Map
Address